Individual
MRS. MARY M PERALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7502 BENSON DR, EL PASO, TX 79915-1636
(915) 471-9116
Mailing address
1302 HUNTER DR, EL PASO, TX 79915-1628
(915) 217-0571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT030195
TX
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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